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APPLICATION - RESTRICTED MATERIALS PERMIT - SUPPLEMENT PERMITNOr� (DO L� t(, <br /> / i �Y !_��• �>�1�-- �� ��—� �I�� PAGE NO. <br /> MAP ACRES/ DILUTION/ DATE/ <br /> LOCATIONTV <br /> VN/ SEC TN RNG ID COMMODITY UNITS PESTICIDES t. PESTS F* M** RATE VOLUME APPL TIMING <br /> / <br /> 8. <br /> 9. <br /> 10. <br /> Ill. <br /> 12. <br /> 13. <br /> 14. <br /> 15. <br /> 16. <br /> 17. <br /> 18. <br /> 19. <br /> 20. <br /> 21. <br /> 22. <br /> 23. <br /> 24, <br /> 25. <br /> 26. <br /> 27. <br /> 28. <br /> 29. <br /> 30. <br /> 31. <br /> *Formulation:L—Liquid B—Bait D—Dust F—Fumigant G--Granules <br /> WP—Wettable Powder O—Other APPLICANT SIGNATURE DATE <br /> **Method: A—Air F—Fumigation Gr—Ground O—Other ISSUED BY. ' DATE <br /> -------------- <br /> STATE OF CALIFORNIA <br /> DEPARTMENT OF PESTICIDE REGULATION <br /> DISTRIBUTION:WHITE&YELLOW-COUNTY AGRICULTURAL COMMISSIONER;PINK&GOLD-PERMITTEE OSP 08 109802 PR-ENF-125A(REV.10/07)Page 1 of 1 <br />